Evidence map›Paper›PMID 42183434›Full record

ArticleMedical science educator2026

Flipping the Culture, not just the Classroom: Leadership Lessons from a Residency Curriculum Redesign.

Kathryn M Burtson, Ronald Markert, Luke McCoy

Abstract readEditorial
In one paragraph

Article in Medical science educator, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kathryn M BurtsonDepartment of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD USA.ORCID 0000-0003-1259-833X
Ronald MarkertDepartment of Internal Medicine, Wright State University Boonshoft School of Medicine and Wright-Patterson Medical Center, Dayton, OH USA.
Luke McCoyDepartment of Internal Medicine, Wright State University Boonshoft School of Medicine and Wright-Patterson Medical Center, Dayton, OH USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This commentary highlights the transformative journey of implementing a flipped, problem-based learning curriculum within an internal medicine residency program. Initially met with resistance from both faculty and residents accustomed to traditional lecture-based learning, the experience underscored the critical role of leadership in driving culture change. Despite the challenge, a comprehensive redesign, including 75 new PBL sessions and faculty development, yielded significant improvements: higher in-training exam scores and increased first-time board pass rates. The key takeaway emphasizes that successful curricular reform in graduate medical education requires a commitment to active learning, investment in faculty facilitation skills, and a data-driven approach to demonstrate positive outcomes. Shifting from lecture-based to active learning environments empowers learners and prepares them for self-directed learning and independent practice.

Indexed as

CurriculumFlipped classroomGraduate medical educationResidency didactics

Identifiers

PMID42183434
PMCPMC13197521

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.